HB2674 S H&HR AM #1
The Committee on Health and Human Resources moved to amend the bill by striking out everything after the enacting clause and inserting in lieu thereof the following:
ARTICLE 7. REGISTERED PROFESSIONAL NURSES.
§30-7-15a. Prescriptive authority for prescription drugs; coordination with Board of Pharmacy; rule-making authority.
(a) The board may, in its discretion, authorize an advanced practice registered nurse to prescribe prescription drugs in accordance with this article and all other applicable state and federal laws. An authorized advanced practice registered nurse may write or sign prescriptions or transmit prescriptions verbally or by other means of communication.
The board shall promulgate legislative rules in accordance with
twenty - nine - a §29A-1-1 et seq. of this code governing the
eligibility and extent to which an advanced practice registered nurse may
prescribe drugs. Such rules shall provide, at a minimum, a state formulary
classifying those categories of drugs which shall not be prescribed by advanced
practice registered nurse including, but not limited to, Schedules I and II of
the Uniform Controlled Substances Act, antineoplastics, radiopharmaceuticals
and general anesthetics . Provided, That an advanced
practice registered nurse may prescribe no more than a three-day supply,
without refill, of a drug listed in the Uniform Controlled Substances Act as a
Schedule II drug. Drugs listed under Schedule III shall be limited to a thirty
30-day supply without refill. In addition to the above referenced
provisions and restrictions and pursuant to a collaborative agreement as set
forth in section fifteen-b of this article §30-7-15b, the rules
shall permit the prescribing of an annual supply of any drug, with the
exception of controlled substances, which is prescribed for the treatment of a
chronic condition, other than chronic pain management. For the purposes of this
section, a "chronic condition" is a condition which lasts three
months or more, generally cannot be prevented by vaccines, can be controlled
but not cured by medication and does not generally disappear. These conditions,
with the exception of chronic pain, include, but are not limited to, arthritis,
asthma, cardiovascular disease, cancer, diabetes, epilepsy and seizures, and
obesity. The prescriber authorized in this section shall note on the
prescription the chronic disease being treated.
The board may promulgate emergency rules to implement the provisions of this
article pursuant to
section fifteen, article three, chapter twenty-nine-a
§29A-3-15 of this code.
(d) The board shall transmit to the Board of Pharmacy a list of all advanced practice registered nurses with prescriptive authority. The list shall include:
(1) The name of the authorized advanced practice registered nurse;
(2) The prescriber's identification number assigned by the board; and
(3) The effective date of prescriptive authority.